NPIMap

Organization Active NPI

Buffalo Spine Medicine & Rehab PLLC

Doing business as Buffalo Spine & Sports Medicine

  • Physical Medicine & Rehabilitation Physician
  • Williamsville, NY
National Provider Identifier
1326394701
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
BUFFALO SPINE MEDICINE & REHAB PLLC
Doing business as
Buffalo Spine & Sports Medicine
Practice address
100 College Parkway
Suite 100
Williamsville, NY 14221-6800
Phone
(716) 626-0093
Fax
(716) 626-9193
NPI assigned
Aug 3, 2012
Last updated
Dec 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Frederick McAdam, MDNPI 1831148840
Title
MD/Authorized Official
Phone
(716) 626-0093

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X Primary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X
Physical Therapist 225100000X

Addresses

Primary practice location

100 College Parkway
Suite 100
Williamsville, NY 14221-6800

Mailing address

100 College Parkway
Suite 100
Williamsville, NY 14221-6800
Phone (716) 626-0093

Other names 1

  • Buffalo Spine & Sports Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130222000013 NY Part B Supplier - Clinic/Group Practice 8921253089 Receives reassigned benefits from 21 practitioners
Practice locations: Orchard Park, NY; Williamsville, NY; Buffalo, NY

National Provider Directory

National Provider Directory

Locations

39 Batavia City Ctr
Batavia, NY 14020

700 Michigan Ave
Ste 120120B
Buffalo, NY 14203

770 Wehrle Dr
Cheektowaga, NY 14225
Phone (716) 982-6605

6000 Brockton Dr
Ste 103
Lockport, NY 14094
Phone (716) 201-1777

200 Sterling Dr
Ste 200
Orchard Park, NY 14127
Phone (716) 878-7000

200 Sterling Dr
Ste 500
Orchard Park, NY 14127

4685 Transit Rd
Williamsville, NY 14221

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735257600000",
    "number": "1326394701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 COLLEGE PARKWAY",
            "address_2": "SUITE 100",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216800",
            "telephone_number": "716-626-0093",
            "fax_number": "716-626-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COLLEGE PARKWAY",
            "address_2": "SUITE 100",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216800",
            "telephone_number": "716-626-0093",
            "fax_number": "716-626-9193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUFFALO SPINE MEDICINE & REHAB PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-03",
        "last_updated": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "MCADAM",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "MD/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "716-626-0093",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buffalo Spine & Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.